Routine early CT-scan is cost saving after minor head injury

T. Ingebrigtsen*, B. Romner

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

57 Citations (Scopus)


Significant hospital resources are invested in early detection of intracranial complications after minor head injuries (MHI). This study focuses on economic aspects of MHI management. 88 MHI patients underwent routine early CT-scan and at least 24 h in-hospital observation. The cost of this management was calculated, and compared to estimated costs of three alternative management protocols. CT-scans demonstrated intracranial lesions in eight (9%) patients, but none required neurosurgical intervention. The expense of our management was Norwegian kroner (NOK) 576,136. An alternative management protocol including routine early CT-scan and discharge of patients with normal CT-findings, Glasgow coma score ≥ 14 and no neurological deficits, was found to be safe, and estimated to reduce costs with 43% to NOK 326,669. It is concluded that routine early CT-scan is the most reliable and cost saving management procedure after MHI.

Original languageEnglish
Pages (from-to)207-210
Number of pages4
JournalActa Neurologica Scandinavica
Issue number2-3
Publication statusPublished - 1996
Externally publishedYes


  • Computed tomography
  • Costs
  • Head injury
  • Protein S-100
  • Skull fracture
  • Skull radiography

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